Abbas Hassan, Roomi Sohaib, Ullah Waqas, Ahmad Asrar, Gajanan Ganesh
Internal Medicine, Abington Jefferson Health, Abington, Pennsylvania, USA.
BMJ Case Rep. 2019 Jul 11;12(7):e229829. doi: 10.1136/bcr-2019-229829.
A prominent coved or saddle-shaped ST-segment elevation followed by T wave changes in V1-V3 and in the absence of other identifiable cause is termed as Brugada pattern. This pattern in the presence of documented ventricular arrhythmias or its symptoms (syncope, seizure) or significant family for sudden cardiac death or abovementioned ECG changes is called Brugada syndrome. Here we present a comprehensive literature review on the precipitation factors of Brugada syndrome/pattern by various stimuli, its presentation, associations, management and outcomes. We are also presenting a unique case of Brugada pattern where the patient's Brugada pattern was unmasked at an extreme old age by infection.
V1-V3导联出现显著的穹窿形或鞍形ST段抬高，随后出现T波改变，且无其他可识别病因，称为Brugada波型。在记录到室性心律失常或其症状（晕厥、癫痫发作）、有心脏性猝死的显著家族史或上述心电图改变的情况下，这种波型称为Brugada综合征。本文对各种刺激诱发Brugada综合征/波型的因素、表现、关联、管理及预后进行了全面的文献综述。我们还报告了一例独特的Brugada波型病例，该患者的Brugada波型在高龄时因感染而显现出来。
